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NPI 1295953743 · live from the CMS NPI Registry

Tania Coy Gardiner Hassard, O.D.

Optometrist in Fairfield, ME. National Provider Identifier 1295953743, active.

NPI record

NPI1295953743 Type 1 · individual
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location30 Main St, Fairfield, ME 04937
Practice phone207-453-6811
EnumeratedApril 22, 2007
Last updatedMarch 20, 2014
Sole proprietorYes
Other namesTania Gardiner

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000XOPT863 (ME)
Pharmacist183500000XPR4842 (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.